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Religious Education (CCD) On-Line Registration Form

Grades Kinder - 12th

Welcome to St. Anthony of Padua Religious Education Program!

Religious Education (CCD) Registration for 2019-2020 has begun and we are gearing up for another exciting year! For your convenience, we are now accepting on-line registrations.

Once you fill this on-line registration form, a copy will be forwarding to Mrs. Laura McCracken, Parish Religious Education Leader. Thank You!

REGISTRATION DONATION SCHEDULE: (DONATION(S) ACCEPTED IN THE PARISH OFFICE.
ON-LINE PAYMENT IS NOT AVAILABLE AT THIS TIME)

1 CHILD	2 CHILDREN	3+ CHILDREN
$25.00	$40.00	$50.00

If this is the first time you are registering your child, a copy of your child(ren)'s Baptismal Certificate is required to be on file in the Religious Education Office of St. Anthony Catholic Church.

NOT BAPTIZED? A copy of your child's birth certificate is required to be on file along with the registration form.

WHEN WILL CLASSES BEGIN?
Religious Education (CCD) Classes will begin on Sunday, September 8, 2019. More information will be shared with you upon availability.

Our High School Confirmation Program is a two-year process:
Year 1: High School students should register in our LIFE TEEN YOUTH MINISTRY PROGRAM;
Year 2: After completing Year 1 in Life Teen, the High School student will attend Sunday classes and a Confirmation Retreat. A Mandatory Parent/Sponsor Workshop will be required (date to be announced at a later time). Sunday classes begin September 8, 2019.

MANDATORY PARENT MEETINGS:
Dates and Times to be Announced at a later date - Stay Tuned!

PREFER TO DOWNLOAD REGISTRATION FORM AND SUBMIT TO THE PARISH OFFICE IN PERSON?
Click on this link

STILL HAVE QUESTIONS? Contact
Laura McCracken at 361-255-9016
St. Anthony Parish Office at 361-387-2774

Contact Information

Has Contact Information Changed since Last Year?
Required*

	Yes
	No
	This is my first time registering

Father's Name

First Name*

Last Name*

Type in Father's Name or N/A

Father's Date of Birth:

Required* //

Mother's Name

First Name*

Last Name*

Mother's Date of Birth:

Required* //

Mother's Maiden Name

Address

Street 1*

Street 2

City*

State*

Zip*

Type in Full Street Address, City & State or N/A

Primary Phone

Best Family Contact Telephone Number* --

Secondary Phone

E-mail

Is your family registered in the parish?
Required*

This email will be used for confirmation of your registration*

	Yes
	No

Child #1

Name

First Name*

Last Name*

Date of Birth

Required* //

Place of Birth (Name of City & State)

Required*

School Grade Level

(Kinder, 1, 2, 3,..., 12, etc.)*

Name of School Attending

Required*

My Child has Received the following Sacraments
Required*

	No Sacraments
	Baptism
	First Confession
	First Holy Communion
	Confirmation

Name of Church where Child was Baptized

Provide Name of Church and Address Information

List Any Health Issues, Special Needs, & Allergies

Required*

Child #2

Name

First Name

Last Name

Date of Birth

Place of Birth (Name of City & State)

School Grade Level

(Kinder, 1, 2, 3, ..., 12, etc.)

Name of School Attending

My Child has Received the following Sacraments

	No Sacraments
	Baptism
	First Confession
	First Holy Communion
	Confirmation

Name of Church where Child was Baptized

Provide Name of Church and Address Information

List Any Health Issues, Special Needs, & Allergies

In Case of Emergency, Contact:

(List Someone other than Parents)

Name

First Name*

Last Name*

Emergency Contact Relationship

Required*

Phone

Required* --

PICK-UP AUTHORIZATION #1

Please list below those who are authorized by you to pick up your child from class

Name

First Name*

Last Name*

Phone

Required* --

Relationship to Child

Required*

PICK-UP AUTHORIZATION #2

Please list below those who are authorized by you to pick up your child from class

Name

First Name

Last Name

Phone

Relationship to Child

PHOTOGRAPHY CONSENT

As parent/guardian, I understand that photos and video (individual and group) will be taken during Religious Education classes and events, and I give my consent for my child/children picture to be used for promotional materials in highlighting RE events
Required*

Yes

For Security Purposes

I will need to set up a payment plan

	Yes
	No

Parent Signature - I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration.
Required*

Yes

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Religious Education (CCD) On-Line Registration Form

Grades Kinder - 12th

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